Dexterity enhancement with robotic surgery

Surgical Endoscopy
K MoorthyA Darzi

Abstract

The aim of this study was to quantify the extent of dexterity enhancement in robotic surgery as compared to laparoscopic surgery. Ten surgeons with varying laparoscopic suturing experience were asked to place three sutures on a suture pad. The sutures were placed laparoscopically, robotically with 2-D vision and robotically with 3-D vision. The da Vinci systems Application Programming Interface (API) was used for positional data. A validated motion analysis system was used for data retrieval for the laparoscopic task. Custom software was developed for data analysis. Compared to laparoscopic suturing, when the task was undertaken robotically with 2-D vision there was a 20% reduction in the time taken but this was not significant (p = 0.07). There was a 55% reduction in the path traveled by the right hand (p = 0.01) and a 45% reduction in the path traveled by the left hand (p = 0.008). When the task was undertaken robotically with 3-D vision, there was a 40% reduction in the time taken (p = 0.01). There was a 70% reduction in the path traveled by right hand (p = 0.008) and a 55% reduction by the left hand (p = 0.08). The presence of wristed instrumentation, tremor abolition, and motion scaling enhance dexterity by nearly 50% as c...Continue Reading

Citations

Mar 11, 2006·Surgical Endoscopy·J HeemskerkN D Bouvy
May 23, 2007·Surgical Endoscopy·M WasedaG F Buess
May 22, 2007·Surgical Endoscopy·M E Rentschler, D Oleynikov
May 25, 2007·Surgical Endoscopy·Mark E RentschlerDmitry Oleynikov
May 25, 2007·Surgical Endoscopy·Norihiko IshikawaMakoto Oda
Oct 17, 2007·Surgical Endoscopy·C A GalvaniS Horgan
Apr 11, 2008·Surgical Endoscopy·Dimitrios KatsavelisNick Stergiou
Apr 30, 2008·Surgical Endoscopy·Timothy N JudkinsNick Stergiou
Jul 8, 2010·Surgical Endoscopy·Carol E ReileyGregory D Hager
Apr 14, 2011·Surgical Endoscopy·Oleg DolghiDmitry Oleynikov
Dec 1, 2012·General Thoracic and Cardiovascular Surgery·Hiroshige Nakamura, Yuji Taniguchi
Mar 11, 2006·Current Urology Reports·Sanjeev KaulMani Menon
Apr 1, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Younghoon RohPier Cristoforo Giulianotti
Feb 13, 2014·Surgical Endoscopy·Ilana NiskyMichael H Hsieh
Aug 16, 2014·Surgical Endoscopy·Ugo BoggiFranco Mosca
Jan 1, 2007·Journal of Robotic Surgery·Amy C LehmanDmitry Oleynikov
Jan 1, 2008·Journal of Robotic Surgery·Timothy N JudkinsNick Stergiou
Dec 1, 2012·Journal of Robotic Surgery·Irene H SuhKa-Chun Siu
Aug 10, 2010·Journal de gynécologie, obstétrique et biologie de la reproduction·C ZacharopoulouA Wattiez
May 9, 2009·Journal of Minimally Invasive Gynecology·Arnold P Advincula, Karen Wang
Feb 14, 2015·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Gianluca Raffaello DamianiAntonio Pellegrino
Oct 29, 2008·Journal de gynécologie, obstétrique et biologie de la reproduction·J DelotteA Bongain
Feb 19, 2008·Gynecologic Oncology·Javier F MagrinaPaul M Magtibay
Jun 5, 2015·Asian Journal of Endoscopic Surgery·Karen L M TungMichael K W Li
May 15, 2008·BJU International·Davendra SharmaInderbir S Gill
Jun 5, 2013·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Manuela PerezJacques Hubert
Mar 24, 2012·Journal of Surgical Oncology·William J LoweryRandal D Robinson
Nov 21, 2012·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·C FreschiA Cuschieri
Jan 23, 2010·The British Journal of Surgery·M IsmailJ C Rückert
Jul 23, 2013·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·M Al-NaamiH Alkharji
Oct 12, 2013·Journal of Hepato-biliary-pancreatic Sciences·Ugo BoggiGabriella Amorese
Nov 8, 2008·IEEE Transactions on Bio-medical Engineering·Chih-Hung KingWarren S Grundfest
Jan 1, 2009·IEEE Transactions on Haptics·C-H KingW S Grundfest
Jan 1, 2009·IEEE Transactions on Haptics·C-H KingJ W Bisley
Feb 25, 2009·IEEE Transactions on Bio-medical Engineering·Stephen R PlattMark E Rentschler
Feb 14, 2008·IEEE Transactions on Information Technology in Biomedicine : a Publication of the IEEE Engineering in Medicine and Biology Society·M E RentschlerS M Farritor
Aug 16, 2012·IEEE Transactions on Bio-medical Engineering·Jeff A HawksStephen R Platt

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